Jessica Anne Banks
Individual provider Active NPI Family Nurse Practitioner · La Fayette, GA
NPI 1336870765 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1336870765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 31850 (TN)
- Practice address
- 611 E Villanow St
La Fayette, GA 30728-2618 - Phone
- (706) 638-1606
- Fax
- (706) 638-9987
- NPI assigned
- Jun 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Health Partners Foundation Inc
Practice addresses (Care Compare)
101 Kington LN
Chickamauga, GA 30707-1991
Phone (706) 375-9400
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2620
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Commonspirit-Memorial Hospital-North Georgia
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220907003661 | TN | Practitioner - Nurse Practitioner | 2365826559 | Reassigns benefits to 1 organization |
| I20220908000549 | GA | Practitioner - Nurse Practitioner | 2365826559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current |
Accepting new patients | |
| Memorial Health Partners Foundation Inc | Current |
Accepting new patients |
Locations
101 Kington Ln
Chickamauga, GA 30707
Phone (706) 375-9400
611 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
615 E Villanow St
La Fayette, GA 30728
Phone (706) 638-1606
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345
Interoperability endpoints
- jessicabanks@tnmhpf.allscriptsdirect.net
- jbanks294354@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31850 | TN | Yes |
Addresses
Primary practice location
611 E Villanow St
La Fayette, GA 30728-2618
Mailing address
615 E Villanow St
La Fayette, GA 30728-2618
Phone (706) 638-1606
Other providers in La Fayette, GA
- Judith A Anderson
- Kay Anderson
- Candace Asher
- Beatrice Askew
- Karyl D Baker
- Eric J Betts
- Kelly Blevins
- Morgan Boles
- Ernest Lee Bowling
- Megan Brackett
All providers in La Fayette, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.